Scope of practice and patient’s healthcare accessibility

Discuss your state NP community in terms of scope of practice. Include your state’s scope of practice for NPs, including: 

Level of independence of practice **In California, NPs are required to practice under Standardized Procedure Guidelines. If CA is your intended practice state, please provide details on how Standardized Procedures Guidelines are developed in California and an example of a California SPG.

1. Prescribing authority 

Any limitations of practice 

• Process for obtaining licensure in your state 

Certification and education requirements for licensure. 

• If you live in a restricted or reduced practice state, how has patient care been impacted in your local community by these barriers? For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has an independent practice of the APN resulted in improved patient access to healthcare?   
• How does access to NPs impact any healthcare disparities?